Individual
CORRIE VONNE CAUDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1809 OAKRIDGE DR, SEMINOLE, OK 74868-3623
(405) 380-7536
Mailing address
1809 OAKRIDGE DR, SEMINOLE, OK 74868-3623
(405) 380-7536
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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